Adenike Alaga
Individual provider Active NPI Nurse Practitioner · Dacula, GA
NPI 1780167452 · NPPES record last updated Jan 12, 2019
Key facts
- NPI
- 1780167452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN192153 (GA)
- Practice address
- 3196 Dolostone Way
Dacula, GA 30019 - Phone
- (404) 514-6694
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN192153 | GA | Yes |
| General Practice Registered Nurse | 163WG0000X | RN192153 | GA |
Addresses
Primary practice location
3196 Dolostone Way
Dacula, GA 30019
Mailing address
3196 Dolostone Way
Dacula, GA 30019
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.